コミュニティベースのmHealth介入におけるダブルポイントインセンティブによる低活動率の個人の身体活動の促進:遡及的観察研究
Jungin Joo1,2,3, Mangyeong Lee1,2,4, Junghee Yoon4,5
1Department of Digital Health, Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul, Republic of Korea.
JMIR mHealth and uHealth
|August 21, 2025
まとめ
1週間のダブルポイントのインセンティブは 移動医療介入で身体活動を増加させましたが 長期的な関与は困難でした 高齢者やウェアラブルデバイスの利用者は 持続的な活動に優れています
科学分野:
- 公衆衛生
- デジタル・ヘルス
- 行動科学
背景:
- 身体活動のためのインセンティブ管理は,行動,設定,配信,参加者の好みに基づいて異なります.
- 財政的制約は大規模な公衆衛生介入に影響を与え,一時的なインセンティブ効果の検討を必要とします.
- コミュニティベースの介入のための限られた資金は,インセンティブの増加の即時および持続的な影響の両方を研究することの重要性を強調しています.
研究 の 目的:
- 身体活動に対する"週間のダブルポイントのインセンティブイベントの影響を評価する.
- 移動医療 (mHealth) 介入における低関与者の間で,このインセンティブ戦略の有効性を評価する.
主な方法:
- ソウル市政府による mHealth 介入のデータを遡及的に分析した (2021年11月-12月).
- 平均3日/週でステップ目標を達成する参加者 (n=27,833) に焦点を当てます.
- セグメント回帰,多変数ロジスティック回帰,コックス比例リスクモデルを使用した.
主要な成果:
- 身体活動が改善した人は わずか13.7%でした
- 日々の挑戦は2.53倍に増加し,平均的な日々のステップは1925年までに増加した (SMD0.55).
- 高齢は即時の改善と相関し 高齢とウェアラブルデバイスの使用は持続的な活動と相関した. 50%は介入後の低関与に戻った.
結論:
- 短期的なダブルポイントのインセンティブは 低関与の個人を動機付けることができますが,mHealthの介入における長期的な身体活動の維持を保証しません.
- 持続的な行動変化のための金銭的なインセンティブを超えた戦略を特定するためにさらなる研究が必要です.
- コミュニティベースのmHealthの介入には 持続的な健康的な習慣を促進する多様なアプローチが必要です
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